Volume 20, Issue 2 (Pajouhan Scientific Journal, Spring 2022)                   Pajouhan Sci J 2022, 20(2): 64-72 | Back to browse issues page

Ethics code: IR.UMSHA.REC.1398.654

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Mostafayi M, Imani B. Exploration of Risk Factors Threatening the Health of Mother, Fetus, and Infant in Cesarean Delivery: A grounded Theoretical Study. Pajouhan Sci J. 2022; 20 (2) :64-72
URL: http://psj.umsha.ac.ir/article-1-761-en.html
1- Student Research Committee, Faculty of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Operating Room, Faculty of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran , behzadiman@yahoo.com
Abstract:   (316 Views)
Background and Objectives: Given the great importance of mother and child health in the community, it is important to identify risk factors during cesarean delivery which is considered as one of the most common gynecological surgeries. Therefore, this study aimed to explore risk factors threatening the health of mother, fetus, and infant during cesarean delivery.
Materials and Methods: This grounded theoretical study was conducted in 2020 in Fatemieh Hospital in Hamadan. In this study, through purposive sampling, 25 semi-structured interviews were conducted with individuals involved in cesarean delivery. The accuracy of the data was checked using Lincoln and Guba criteria and analyzed based on Strauss and Corbin method.
Results: In this study, 3 categories and 8 sub-categories were identified, which include: 1.Background factors (high-risk pregnancy, abnormal fetus, and background risk factor), 2.environmental factors (Unfavorable medical equipment, unsafe electrosurgery, excessive workload), and 3.human factors (lack of skilled medical team and the individual errors of the medical team).
Conclusions: The results of this study showed that background, environmental and human factors can cause complications during cesarean delivery. Therefore, it is important to take in to account these results and apply appropriate management strategies to prevent the negative effects of identified factors to ensure the safety of the mother and child during surgery.
Full-Text [PDF 841 kb]   (140 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2021/07/31 | Accepted: 2021/08/7 | Published: 2022/05/31

References
1. Ebrashy AE, Kassab A, Nada A, Saleh W, Soliman A. Caesarean section in a university and general tertiary hospitals in Cairo; Egypt: rates, indications and limits. KAJOG. 2011;2(1):20-6.
2. Corton M, Leveno K, Bloom S, Spong C, Dashe J. Williams obstetrics. 24th ed.‎ New York, NY: McGraw-Hill Education / Medical; 2014.
3. Mascarello KC, Horta BL, Silveira MF. Maternal complications and cesarean section without indication: systematic review and meta-analysis. Rev Saude Publica. 2017;51:105. [DOI] [PubMed]
4. Pillitteri A. Maternal and child health nursing: Care of the childbearing and childrearing family. 7th ed. Phialdelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014. pp: 654.
5. Fawzy AE, Sweilam M, El-Agwany AS, Hassan E, Moustafa AZ, Fawzy DA. Pulling down the curtain on un-necessary caesarean section: Shatby maternity university hospital experience in Alexandria with systematic literature review. Women’s Health & Gynecology. 2016;2(2):21-6.
6. WHO. WHO statement on caesarean section rates. Geneva, Switzerland: World Health Organization; 2015.
7. Boerma T, Ronsmans C, Melesse DY, Barros AJ, Barros FC, Juan L, et al. Global epidemiology of use of and disparities in caesarean sections. Lancet. 2018;392(10155):1341-8. [DOI] [PubMed]
8. Hamiton BE, Martin JA, Osterman MJK. Births: Preliminary data for 2015. Natl Vital Stat Rep. 2016;65(3):1-15. [PubMed]
9. Hamilton BE, Martin JA, Ventura SJ. Births: preliminary data for 2012. Natl Vital Stat Rep. 2013;62(3):1-20. [PubMed]
10. Mostafayi M, Imani B, Zandi S, Rabie S. Comparing early postoperative maternal complications in elective and emergency cesarean sections. JMRH. 2020;8(3):2368-75. [DOI]
11. Zandi S, Imani B, Mostafayi M, Rabie S. Prevalence of early maternal complications of cesarean section and its relationship with body mass index in Fatemieh Hospital of Hamadan. PSJ. 2020;18(2):52-7. [Persian]. [DOI]
12. Mostafayi M, Imani B, Zandi S, Rabiei S. Early maternal complications of cesarean section in two technique of Closure and non-closure of parietal peritoneum: a double blind randomized clinical trial. Iran J Obstet Gynecol Infertil. 2021;24(1):77-86. [DOI]
13. Rafiei M, Saei Ghare M, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K, et al. Prevalence, causes, and complications of cesarean delivery in Iran: A systematic review and meta-analysis. Int J Reprod Biomed. 2018;16(4):221-34. [PubMed]
14. Mostafayi M, Imani B, Zandi S, Jongi F. The effect of familiarization with preoperative care on anxiety and vital signs in the patient’s cesarean section: A randomized controlled trial. Eur J Midwifery. 2021;5:21. [DOI] [PubMed]
15. Sahin T, Gulec E, Ahrazoglu MS, Tetiker S. Association between preoperative maternal anxiety and neonatal outcomes: a prospective observational study. J Clin Anesth. 2016;33:123-6. [DOI] [PubMed]
16. Kabakian-Khasholian T, Ataya A, Shayboub R, El-Kak F. Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country. Sex Reprod Healthc. 2015;6(1):44-7. [DOI] [PubMed]
17. Park J. Preventive and social medicine. 21th ed. Bhopal, India: Banarsidas Bhanot Publishers; 2011.
18. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.
19. Corbin J. Strauss A. Basics of qualitative research: Techniques and procedures for developing. 3rd ed. Newbury Park, CA: Sage Publications; 2008.
20. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage Publications; 1985.
21. Garmi G, Salim R. Epidemiology, etiology, diagnosis, and management of placenta accreta. Obstet Gynecol Int. 2012;2012:873929. [DOI] [PubMed]
22. Krieger Y, Walfisch A, Sheiner E. Surgical site infection following cesarean deliveries: trends and risk factors. J Matern Fetal Neonatal Med. 2017;30(1):8-12. [DOI] [PubMed]
23. Tebeu PM, Mboudou E, Halle G, Kongnyuy E, Nkwabong E, Fomulu JN. Risk factors of delivery by caesarean section in Cameroon (2003-2004): a regional hospital report. ISRN Obstet Gynecol. 2011;2011: 791319. [DOI] [PubMed]
24. van der Looven R, Le Roy L, Tanghe E, Samijn B, Roets E, Pauwels N, et al. Risk factors for neonatal brachial plexus palsy: a systematic review and meta‐analysis. Dev Med Child Neurol. 2020;62(6):673-83. [DOI] [PubMed]
25. Gungorduk K, Asicioglu O, Celikkol O, Sudolmus S, Ark C. Iatrogenic bladder injuries during caesarean delivery: a case control study. J Obstet Gynaecol. 2010;30(7): 667-70. [DOI] [PubMed]
26. Saban A, Shoham-Vardi I, Yohay D, Weintraub A. Peritoneal adhesions do not increase intra-operative organ injury or adverse neonatal outcomes during a repeated cesarean delivery. Arch Gynecol Obstet. 2020;302(4):879-86. [DOI] [PubMed]
27. Nemati M, Mohammadzadeh Zarnakesh Sh, Ebrahimi Abyaneh E. Investigating the cases and influencing factors of errors in the operating room: staff perspective. Journal of Islamic Azad University. 2018;20(2):153-61. [Persian].
28. Cramer H, Pohlabeln H, Habermann M. Factors causing or influencing nursing errors as perceived by nurses: findings of a cross-sectional study in German nursing homes and hospitals. J Public Health. 2013;21(2):145-53. [DOI]
29. Farzi S, Alimohammadi N, Moladoost A. Medication errors by the intensive care units' nurses and the preventive strategies. JAP. 2016;6(4):33-4. [Persian].
30. Mosadeghrad AM, Khalaj F. The impact of quality managnt on reducing electrocautery burn. Journal of Hospital. 2020;19(1):71-8. [Persian].
31. Berhan Y, Berhan A. A meta-analysis of reverse breech extraction to deliver a deeply impacted head during cesarean delivery. Int J Gynaecol Obstet. 2014;124(2):99-105. [DOI] [PubMed]
32. Gorji HA, Ravaghi H, Pirouzi M, Mansourzade A. Utilizing integrated prospective and retrospective risk analysis method on general processes patient flow in operating room in Seyed Alshohada Hospital in Semirom, Iran. Health Inf Manage. 2013;10(3):488-97. [Persian].
33. Ronconi LM. The right to health: a model for determining the contents of the minimum core and the periphery. Salud Colect. 2012;8:131-49. [Spanish]. [DOI] [PubMed]

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